I 

118TH CONGRESS 

2D SESSION H. R. 9128 

To amend title XVIII of the Social Security Act to establish a designation 

for territorial safety net hospitals, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

JULY 24, 2024 

Mr. SABLAN (for himself and Mr. MOYLAN) introduced the following bill; 

which was referred to the Committee on Energy and Commerce, and in 

addition to the Committees on Ways and Means, and the Budget, for a 

period to be subsequently determined by the Speaker, in each case for 

consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To amend title XVIII of the Social Security Act to establish 

a designation for territorial safety net hospitals, and 

for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Supporting Territorial 

5 Safety Net Hospitals Act’’. 


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1 SEC. 2. DESIGNATION FOR TERRITORIAL SAFETY NET HOS2 PITALS. 

3 (a) TERRITORIAL SAFETY NET HOSPITAL DE4 FINED.—Section 1861 of the Social Security Act (42 

5 U.S.C. 1395x) is amended by adding at the end the fol6 lowing new subsection: 

7 ‘‘(nnn) TERRITORIAL SAFETY NET HOSPITAL.— 

8 ‘‘(1) The term ‘territorial safety net hospital’ 

9 means a hospital (as defined in subsection (e)) that 

10 is located in the Northern Mariana Islands, Amer11 ican Samoa, Guam, or the Virgin Islands. 

12 ‘‘(2) The term ‘inpatient territorial safety net 

13 hospital services’ means items and services, fur14 nished to an inpatient of a territorial safety net hos15 pital by such facility, that would be inpatient hos16 pital services if furnished to an inpatient of a hos17 pital by a hospital. 

18 ‘‘(3) The term ‘outpatient territorial safety net 

19 hospital services’ means medical and other health 

20 services furnished by a territorial safety net hospital 

21 on an outpatient basis.’’. 

22 (b) PAYMENT FOR INPATIENT TERRITORIAL SAFETY

23 NET HOSPITAL SERVICES.— 

24 (1) IN GENERAL.—Section 1814 of the Social 

25 Security Act (42 U.S.C. 1395f) is amended— 


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1 (A) in subsection (b), by inserting ‘‘other 

2 than a territorial safety net hospital providing 

3 inpatient territorial safety net hospital serv4 ices,’’ after ‘‘critical access hospital providing 

5 inpatient critical access hospital services,’’; and 

6 (B) by adding at the end the following new 

7 subsection: 

8 ‘‘(m) PAYMENT FOR INPATIENT TERRITORIAL SAFE9 TY NET HOSPITAL SERVICES.—The amount of payment 

10 under this part for inpatient territorial safety net hospital 

11 services is equal to 101 percent of the reasonable costs 

12 of the territorial safety net hospital in providing such serv13 ices.’’. 

14 (2) SCOPE OF BENEFITS.—Section 1812(a)(1) 

15 of the Social Security Act (42 U.S.C. 1395d(a)(1)) 

16 is amended by striking ‘‘or inpatient critical access 

17 hospital services’’ and inserting ‘‘, inpatient critical 

18 access hospital services, or inpatient territorial safe19 ty net hospital services’’. 

20 (3) DEDUCTIBLES AND COINSURANCE.—Section 

21 1813 of the Social Security Act (42 U.S.C. 1395e) 

22 is amended— 

23 (A) in subsection (a)(1), by striking ‘‘or in24 patient critical access hospital services’’ each 

25 place it appears and inserting ‘‘, inpatient critVerDate Sep 11 2014 23:43 Aug 20, 2024 Jkt 049200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H9128.IH H9128

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1 ical access hospital services, or inpatient terri2 torial safety net hospital services’’; and 

3 (B) in subsection (b)(3)— 

4 (i) in subparagraph (A), by striking 

5 ‘‘or inpatient critical access hospital serv6 ices’’ and inserting ‘‘, inpatient critical ac7 cess hospital services, or inpatient terri8 torial safety net hospital services’’; and 

9 (ii) in subparagraph (B), by inserting 

10 ‘‘, inpatient territorial safety net hospital 

11 services,’’ after ‘‘inpatient critical access 

12 hospital services’’. 

13 (4) PAYMENT TO PROVIDERS OF SERVICES.— 

14 Section 1815(e)(2) of the Social Security Act (42 

15 U.S.C. 1395g(e)(2)) is amended— 

16 (A) in subparagraph (D), by striking 

17 ‘‘and’’ at the end; 

18 (B) in subparagraph (E), by inserting 

19 ‘‘and’’ after the semicolon at the end; and 

20 (C) by adding at the end the following new 

21 subparagraph: 

22 ‘‘(F) inpatient territorial safety net hos23 pital services;’’. 

24 (5) ADMINISTRATION OF PART A.—Section 

25 1816(c)(2)(C) of the Social Security Act (42 U.S.C. 


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1 1395h(c)(2)(C)) is amended by inserting ‘‘territorial 

2 safety net hospital,’’ after ‘‘critical access hospital,’’. 

3 (c) PAYMENT FOR OUTPATIENT TERRITORIAL SAFE4 TY NET HOSPITAL SERVICES.— 

5 (1) IN GENERAL.—Section 1834 of the Social 

6 Security Act (42 U.S.C. 1395m) is amended by add7 ing at the end the following new subsection: 

8 ‘‘(aa) PAYMENT FOR OUTPATIENT TERRITORIAL

9 SAFETY NET HOSPITAL SERVICES.— 

10 ‘‘(1) IN GENERAL.—The amount of payment 

11 for outpatient territorial safety net hospital services 

12 of a territorial safety net hospital is equal to 101 

13 percent of the reasonable costs of the hospital in 

14 providing such services, unless the hospital makes 

15 the election under paragraph (2). 

16 ‘‘(2) ELECTION OF COST-BASED HOSPITAL OUT17 PATIENT SERVICE PAYMENT PLUS FEE SCHEDULE

18 FOR PROFESSIONAL SERVICES.—A territorial safety 

19 net hospital may elect to be paid for outpatient terri20 torial safety net hospital services amounts equal to 

21 the sum of the following, less the amount that such 

22 hospital may charge as described in section 

23 1866(a)(2)(A): 

24 ‘‘(A) FACILITY FEE.—With respect to fa25 cility services, not including any services for 


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1 which payment may be made under subpara2 graph (B), 101 percent of the reasonable costs 

3 of the territorial safety net hospital in providing 

4 such services. 

5 ‘‘(B) FEE SCHEDULE FOR PROFESSIONAL

6 SERVICES.—With respect to professional serv7 ices otherwise included within outpatient terri8 torial safety net hospital services, 115 percent 

9 of such amounts as would otherwise be paid 

10 under this part if such services were not in11 cluded in outpatient territorial safety net hos12 pital services. Subsections (x) and (y) of section 

13 1833 shall not be taken into account in deter14 mining the amounts that would otherwise be 

15 paid pursuant to the preceding sentence. 

16 The Secretary may not require, as a condition for 

17 applying subparagraph (B) with respect to a terri18 torial safety net hospital, that each physician or 

19 other practitioner providing professional services in 

20 the hospital must assign billing rights with respect 

21 to such services, except that such subparagraph shall 

22 not apply to those physicians and practitioners who 

23 have not assigned such billing rights. 

24 ‘‘(3) DISREGARDING CHARGES.—The payment 

25 amounts under this subsection shall be determined 


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1 without regard to the amount of the customary or 

2 other charge. 

3 ‘‘(4) TREATMENT OF CLINICAL DIAGNOSTIC

4 LABORATORY SERVICES.—No coinsurance, deduct5 ible, copayment, or other cost-sharing otherwise ap6 plicable under this part shall apply with respect to 

7 clinical diagnostic laboratory services furnished as 

8 an outpatient territorial safety net hospital service. 

9 Nothing in this title shall be construed as providing 

10 for payment for clinical diagnostic laboratory serv11 ices furnished as part of outpatient territorial safety 

12 net hospital services, other than on the basis de13 scribed in this subsection. For purposes of the pre14 ceding sentence and section 1861(nnn)(3), clinical 

15 diagnostic laboratory services furnished by a terri16 torial safety net hospital shall be treated as being 

17 furnished as part of outpatient critical access serv18 ices without regard to whether the individual with 

19 respect to whom such services are furnished is phys20 ically present in the territorial safety net hospital, or 

21 in a skilled nursing facility or a clinic (including a 

22 rural health clinic) that is operated by a territorial 

23 safety net hospital, at the time the specimen is col24 lected. 


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1 ‘‘(5) COVERAGE OF COSTS FOR CERTAIN ON2 CALL EMERGENCY ROOM PROVIDERS.—In deter3 mining the reasonable costs of outpatient territorial 

4 safety net hospital services under paragraphs (1) 

5 and (2)(A), the Secretary shall recognize as allow6 able costs, amounts (as defined by the Secretary) for 

7 reasonable compensation and related costs for physi8 cians, physician assistants, nurse practitioners, and 

9 clinical nurse specialists who are on-call (as defined 

10 by the Secretary) to provide emergency services but 

11 who are not present on the premises of the terri12 torial safety net hospital involved, and are not other13 wise furnishing services covered under this title and 

14 are not on-call at any other provider or facility.’’. 

15 (2) SCOPE OF BENEFITS.—Section 1832(a)(2) 

16 of the Social Security Act (42 U.S.C. 1395k(a)(2)) 

17 is amended— 

18 (A) in subparagraph (I), by striking ‘‘; 

19 and’’ and inserting a semicolon; 

20 (B) in subparagraph (J), by striking the 

21 period at the end and inserting ‘‘; and’’; and 

22 (C) by adding at the end the following new 

23 subparagraph: 


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1 ‘‘(K) outpatient territorial safety net hos2 pital services (as defined in section 

3 1861(nnn)(3)).’’. 

4 (3) PAYMENT OF BENEFITS.—Section 1833 of 

5 the Social Security Act (42 U.S.C. 1395l) is amend6 ed— 

7 (A) in subsection (a)— 

8 (i) in paragraph (9), by striking ‘‘; 

9 and’’ and inserting a semicolon; 

10 (ii) in paragraph (10), by striking the 

11 period at the end and inserting ‘‘; and’’; 

12 and 

13 (iii) by inserting after paragraph (10) 

14 the following new paragraph: 

15 ‘‘(11) in the case of outpatient territorial safety 

16 net hospital services, the amounts described in sec17 tion 1834(aa).’’; 

18 (B) in subsection (h)(5)(A)(iii), by insert19 ing ‘‘territorial safety net hospital,’’ after ‘‘crit20 ical access hospital,’’; 

21 (C) in subsection (i)(1)(A), by inserting 

22 ‘‘territorial safety net hospital,’’ after ‘‘critical 

23 access hospital,’’; 

24 (D) in subsection (l)(5)— 


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1 (i) in subparagraph (A), by inserting 

2 ‘‘territorial safety net hospital,’’ after 

3 ‘‘critical access hospital,’’ in each place it 

4 appears; and 

5 (ii) in subparagraph (B), by striking 

6 ‘‘or critical access hospital’’ in each place 

7 it appears and inserting ‘‘, critical access 

8 hospital, or territorial safety net hospital’’ 

9 in each such place; 

10 (E) in subsection (r)— 

11 (i) in paragraph (1), by inserting 

12 ‘‘territorial safety net hospital,’’ after 

13 ‘‘critical access hospital’’; and 

14 (ii) in paragraph (2), by striking ‘‘or 

15 critical access hospital’’ and inserting ‘‘, 

16 critical access hospital, or territorial safety 

17 net hospital’’; and 

18 (F) in subsection (cc)(2), by adding at the 

19 end the following new subparagraph: 

20 ‘‘(F) Section 1834(aa), with respect to an 

21 outpatient territorial safety net hospital serv22 ice.’’. 

23 (4) PAYMENT FOR AMBULANCE SERVICES FUR24 NISHED BY A TERRITORIAL SAFETY NET HOSVerDate Sep 11 2014 23:43 Aug 20, 2024 Jkt 049200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H9128.IH H9128

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1 PITAL.—Section 1834(l)(8) of the Social Security 

2 Act (42 U.S.C. 1395m(l)(8)) is amended— 

3 (A) in the heading, by inserting ‘‘AND TER4 RITORIAL SAFETY NET HOSPITALS’’ after 

5 ‘‘CRITICAL ACCESS HOSPITALS’’; 

6 (B) in subparagraph (A), by inserting ‘‘or 

7 a territorial safety net hospital (as defined in 

8 section 1861(nnn))’’ after ‘‘(as defined in sec9 tion 1861(mm)(1))’’; 

10 (C) in subparagraph (B), by inserting ‘‘or 

11 a territorial safety net hospital’’ after ‘‘critical 

12 access hospital’’; and 

13 (D) by amending the flush left text fol14 lowing subparagraph (B) to read as follows: 

15 ‘‘but only if the critical access hospital, territorial 

16 safety net hospital, or entity is the only provider or 

17 supplier of ambulance services that is located within 

18 a 35-mile drive of such critical access hospital or ter19 ritorial safety net hospital.’’. 

20 (d) CONFORMING AMENDMENTS.— 

21 (1) TITLE XI.— 

22 (A) CIVIL MONETARY PENALTIES.—Sec23 tion 1128A(b)(1) of the Social Security Act (42 

24 U.S.C. 1320a–7a(b)(1)) is amended by striking 

25 ‘‘or a critical access hospital’’ in each place it 


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1 appears and inserting ‘‘, critical access hospital, 

2 or territorial safety net hospital’’ in each such 

3 place. 

4 (B) CRIMINAL PENALTIES FOR ACTS IN5 VOLVING FEDERAL HEALTH CARE PROGRAMS.— 

6 Section 1128B(c) of the Social Security Act (42 

7 U.S.C. 1320a–7b(c)) is amended by inserting 

8 ‘‘territorial safety net hospital,’’ after ‘‘critical 

9 access hospital,’’. 

10 (C) NONPROFIT HOSPITAL PHILAN11 THROPY.—Section 1134 of the Social Security 

12 Act (42 U.S.C. 1320b–4) is amended in the 

13 matter preceding paragraph (1) by striking ‘‘or 

14 critical access hospitals’’ in each place it ap15 pears and inserting ‘‘, critical access hospitals, 

16 or territorial safety net hospitals’’ in each such 

17 place. 

18 (D) HOSPITAL PROTOCOLS FOR ORGAN

19 PROCUREMENT AND STANDARDS FOR ORGAN

20 PROCUREMENT AGENCIES.—Section 1138 of the 

21 Social Security Act (42 U.S.C. 1320b–8) is 

22 amended by striking ‘‘or critical access hos23 pital’’ in each place it appears and inserting ‘‘, 

24 critical access hospital, or territorial safety net 

25 hospital’’ in each such place. 


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1 (2) TITLE XVIII.— 

2 (A) DEFINITION OF A HOSPITAL.—Section 

3 1861(e) of the Social Security Act (42 U.S.C. 

4 1395x(e)) is amended in the flush left matter at 

5 the end by striking ‘‘or a rural emergency hos6 pital (as defined in subsection (kkk)(2))’’ and 

7 inserting ‘‘, a rural emergency hospital (as de8 fined in subsection (kkk)(2)), or a territorial 

9 safety net hospital (as defined in subsection 

10 (nnn)(1))’’. 

11 (B) DEFINITION OF PROVIDER OF SERV12 ICES.—Section 1861(u) of the Social Security 

13 Act (42 U.S.C. 1395x(u)) is amended by insert14 ing ‘‘territorial safety net hospital,’’ after ‘‘crit15 ical access hospital,’’. 

16 (C) DEFINITION OF REASONABLE

17 COSTS.—Section 1861(v)(1)(S)(ii)(III) of the 

18 Social Security Act (42 U.S.C. 

19 1395x(v)(1)(S)(ii)(III)) is amended by striking 

20 ‘‘or a critical access hospital (as defined in sec21 tion 1861(mm)(1))’’ and inserting ‘‘, a critical 

22 access hospital (as defined in section 

23 1861(mm)(1)), or a territorial safety net hos24 pital (as defined in subsection (nnn) of such 

25 section)’’. 


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1 (D) DEFINITION OF ARRANGEMENTS.— 

2 Section 1861(w) of the Social Security Act (42 

3 U.S.C. 1395x(w)) is amended— 

4 (i) in paragraph (1), by inserting 

5 ‘‘territorial safety net hospital,’’ after 

6 ‘‘critical access hospital,’’; and 

7 (ii) in paragraph (2), by striking ‘‘or 

8 critical access hospital’’ in each place it ap9 pears and inserting ‘‘, critical access hos10 pital, or territorial safety net hospital’’ in 

11 each such place. 

12 (E) DEFINITION OF POST-INSTITUTIONAL

13 HOME HEALTH SERVICES; HOME HEALTH

14 SPELL OF ILLNESS.—Section 1861(tt) of the 

15 Social Security Act (42 U.S.C. 1395x(tt)) is 

16 amended— 

17 (i) in paragraph (1)(A), by striking 

18 ‘‘or critical access hospital’’ and inserting 

19 ‘‘, critical access hospital, or territorial 

20 safety net hospital’’; and 

21 (ii) in paragraph (2)(B), by striking 

22 ‘‘or critical access hospital’’ and inserting 

23 ‘‘, critical access hospital, or territorial 

24 safety net hospital’’. 


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1 (F) EXCLUSION FROM COVERAGE.—Sec2 tion 1862(a)(14) of the Social Security Act (42 

3 U.S.C. 1395y(a)(14)) is amended by striking 

4 ‘‘or critical access hospital’’ in each place it ap5 pears and inserting ‘‘, critical access hospital, 

6 or territorial safety net hospital’’ in each such 

7 place. 

8 (G) USE OF STATE AGENCIES TO DETER9 MINE COMPLIANCE BY PROVIDERS OF SERVICES

10 WITH CONDITIONS OF PARTICIPATION.—Section 

11 1864 of the Social Security Act (42 U.S.C. 

12 1395aa) is amended— 

13 (i) in subsection (a), by inserting ‘‘ter14 ritorial safety net hospital, as defined in 

15 section 1861(nnn)(1),’’ after ‘‘a critical ac16 cess hospital, as defined in section 

17 1861(mm)(1),’’; and 

18 (ii) by adding at the end the following 

19 new subparagraph: 

20 ‘‘(f) For purposes of this section, the term ‘State’ 

21 means the 50 States and includes the District of Colum22 bia, Puerto Rico, the Virgin Islands, Guam, American 

23 Samoa, and the Northern Mariana Islands.’’. 


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1 (H) AGREEMENTS WITH PROVIDERS OF

2 SERVICES.—Section 1866(a) of the Social Secu3 rity Act (42 U.S.C. 1395cc(a)) is amended— 

4 (i) in paragraph (1)— 

5 (I) in subparagraph (F)(ii), by 

6 inserting ‘‘territorial safety net hos7 pitals,’’ after ‘‘critical access hos8 pitals,’’; 

9 (II) in subparagraph (H), by 

10 striking ‘‘and in the case of critical 

11 access hospitals which provide critical 

12 access hospital services’’ and inserting 

13 ‘‘, in the case of critical access hos14 pitals which provide critical access 

15 hospital services, and in the case of 

16 territorial safety net hospitals which 

17 provide territorial safety net hospital 

18 services’’; 

19 (III) in subparagraph (I), by in20 serting ‘‘territorial safety net hos21 pital,’’ after ‘‘critical access hospital,’’ 

22 in each place it appears; 

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1 pital,’’ after ‘‘critical access hospital,’’ 

2 in each place it appears; 

3 (V) in subparagraph (T), by 

4 striking ‘‘and critical access hospitals’’ 

5 and inserting ‘‘, critical access hos6 pitals, and territorial safety net hos7 pitals’’; and 

8 (VI) in subparagraph (Y), by 

9 striking ‘‘or critical access hospital’’ 

10 each place it appears and inserting ‘‘, 

11 critical access hospital, or territorial 

12 safety net hospital’’ in each such 

13 place; and 

14 (ii) in paragraph (3)— 

15 (I) in subparagraph (A), by in16 serting ‘‘territorial safety net hos17 pital,’’ after ‘‘critical access hospital,’’; 

18 (II) in subparagraph (B), by in19 serting ‘‘territorial safety net hos20 pital,’’ after ‘‘critical access hospital,’’ 

21 in each place it appears; and 

22 (III) in subparagraph (C)(ii)(II), 

23 by inserting ‘‘territorial safety net 

24 hospitals,’’ after ‘‘critical access hos25 pitals,’’ in each place it appears. 


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1 (I) EXAMINATION AND TREATMENT FOR

2 EMERGENCY MEDICAL CONDITIONS AND WOMEN

3 IN LABOR.—Section 1867(e)(5) of the Social 

4 Security Act (42 U.S.C. 1395dd(e)(5)) is 

5 amended by inserting ‘‘, territorial safety net 

6 hospital (as defined in section 1861(nnn)(1)),’’ 

7 after ‘‘(as defined in section 1861(mm)(1))’’. 

8 (J) HOSPITAL PROVIDERS OF EXTENDED

9 CARE SERVICES.—Section 1883(a)(3) of the So10 cial Security Act (42 U.S.C. 1395tt(a)(3)) is 

11 amended by inserting ‘‘or a territorial safety 

12 net hospital’’ after ‘‘critical access hospital’’. 

13 (K) PAYMENT TO SKILLED NURSING FA14 CILITIES FOR ROUTINE CARE.—Section 

15 1888(e)(6)(B) of the Social Security Act (42 

16 U.S.C. 1395yy(e)(6)(B)) is amended— 

17 (i) in clause (i), by inserting ‘‘or a 

18 territorial safety net hospital’’ after ‘‘crit19 ical access hospital’’; and 

20 (ii) in clause (ii), by inserting ‘‘or a 

21 territorial safety net hospital’’ after ‘‘crit22 ical access hospital’’. 

23 (L) STANDARDIZED POST-ACUTE CARE

24 (PAC) ASSESSMENT DATA FOR QUALITY, PAY25 MENT, AND DISCHARGE PLANNING.—Section 


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1 1899B of the Social Security Act (42 U.S.C. 

2 1395lll) is amended— 

3 (i) in subsection (c)(1)(E)— 

4 (I) in clause (i), by striking ‘‘or 

5 critical access hospital’’ and inserting 

6 ‘‘, critical access hospital, or terri7 torial safety net hospital’’; and 

8 (II) in clause (ii), by inserting 

9 ‘‘territorial safety net hospital,’’ after 

10 ‘‘critical access hospital,’’; and 

11 (ii) in subsection (i)(1)— 

12 (I) in the first sentence, by strik13 ing ‘‘and critical access hospitals’’ and 

14 inserting ‘‘, critical access hospitals, 

15 and territorial safety net hospitals’’; 

16 and 

17 (II) in the third sentence, by in18 serting ‘‘territorial safety net hos19 pitals,’’ after ‘‘critical access hos20 pitals,’’. 

21 SEC. 3. INCLUSION OF TERRITORIAL SAFETY NET HOS22 PITALS AS 340B COVERED ENTITIES. 

23 Section 340B(a)(4) of the Public Health Service Act 

24 (42 U.S.C. 256b(a)(4)) is amended by adding at the end 

25 the following new subparagraph: 


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1 ‘‘(P) An entity that is a territorial safety 

2 net hospital (as defined in section 1861(nnn) of 

3 the Social Security Act), and that meets the re4 quirements of subparagraph (L)(i).’’. 

5 SEC. 4. ELIMINATING MEDICARE SEQUESTRATION FOR 

6 TERRITORIAL SAFETY NET HOSPITALS. 

7 (a) ELIMINATING MEDICARE SEQUESTRATION FOR

8 TERRITORIAL SAFETY NET HOSPITALS.— 

9 (1) IN GENERAL.—Section 256(d)(7) of the 

10 Balanced Budget and Emergency Deficit Control 

11 Act of 1985 (2 U.S.C. 906(d)(7)) is amended by 

12 adding at the end the following: 

13 ‘‘(D) TERRITORIAL SAFETY NET HOS14 PITALS.—Payments under part A or part B of 

15 title XVIII of the Social Security Act with re16 spect to items and services furnished by a terri17 torial safety net hospital (as defined in section 

18 1861(nnn)(1) of such Act).’’. 

19 (2) APPLICABILITY.—The amendment made by 

20 this section applies with respect to orders of seques21 tration effective on or after the date that is 60 days 

22 after the date of the enactment of this Act. 

23 (b) REVERSING CUTS TO REIMBURSEMENT OF BAD

24 DEBT FOR TERRITORIAL SAFETY NET HOSPITALS.— 


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1 (1) TERRITORIAL SAFETY NET HOSPITALS.— 

2 Section 1861(v)(1)(W)(ii) of the Social Security Act 

3 (42 U.S.C. 1395x(v)(1)(W)(ii)) is amended by in4 serting after ‘‘or (V)’’ the following: ‘‘, a territorial 

5 safety net hospital’’. 

6 (2) APPLICABILITY.—The amendments made 

7 by this section apply with respect to cost reporting 

8 periods beginning more than 60 days after the date 

9 of the enactment of this Act. 

Æ 


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